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MISHA with meniscus repair
protocol

Please share this with your physical therapist, and contact us if there are any questions.

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Initiate
Physical
Therapy

1 week

Can ease into
biking, elliptical,
swimming

2 months

Can ease into
squats and lunges
for strengthening
(NOT BEFORE THEN)

4 months

POST OPERATIVE TIME 0-10
days
Activities of daily living
Walking true
Squatting with weight on surgical leg
(do not put weight on it when it’s bent more than 45 degrees)		 false
Showering true
Bath / Hot tub / Sauna false
Range-of-motion goals
0°-90° true
0°-120° arrow4
Full ROM arrow4
Patella mobilization
 true
Stretching
Hamstring true
Gastroc-soleus true
Iliotibial band true
Quad arrow4
Strengthening false
Active knee extension true
Quadriceps isometrics true
Straight leg raises true
Closed-chain strengthening:
Calf raises with knee in extension true
Wall sits false
Squats false
Lunges false
Open-chain strengthening:
Knee extension quadriceps 0°-90° false
Knee flexion hamstrings 0°-90° false
Multi-hip false
Hip abduction-adduction false
Balance/proprioceptive training
Weight-shifting arrow4
BAPS arrow4
BBS arrow4
Mini-trampoline
 arrow4
Plyometrics
 arrow4
Conditioning
Upper body ergometer (optional) true
Swimming - freestyle false
Aquatic program false
Bike (stationary) false
Stair climbing machine false
Ski machine false
Running: straight - ease in SLOWLY arrow4
Cutting false
Lateral carioca false
Figure 8s false
Full sports at 6-12 months
depending on strength		 arrow4
11-35
days		 36-42
days		 7-8
weeks		 9-16
weeks		 4
months		 5
months		 6-12
months
arrow3 arrow3 arrow3 arrow3 arrow3 arrow3 arrow3
false false arrow3 arrow3 arrow3 arrow3 arrow3
arrow3 arrow3 arrow3 arrow3 arrow3 arrow3 arrow3
arrow3 arrow3 arrow3 arrow3 arrow3 arrow3 arrow3
arrow3 arrow3 arrow3 arrow3 arrow3 arrow3 arrow3
arrow4 arrow3 arrow3 arrow3 arrow3 arrow3 arrow3
arrow4 arrow4 arrow3 arrow3 arrow3 arrow3 arrow3
arrow3 arrow3 arrow3 arrow3 arrow3 arrow3 arrow3
arrow3 arrow3 arrow3 arrow3 arrow3 arrow3 arrow3
arrow3 arrow3 arrow3 arrow3 arrow3 arrow3 arrow3
arrow3 arrow3 arrow3 arrow3 arrow3 arrow3 arrow3
arrow4 arrow4 arrow3 arrow3 arrow3 arrow3 arrow3
false false false false arrow3 arrow3 arrow3
arrow3 arrow3 arrow3 arrow3 arrow3 arrow3 arrow3
arrow3 arrow3 arrow3 arrow3 arrow3 arrow3 arrow3
arrow3 arrow3 arrow3 arrow3 arrow3 arrow3 arrow3
arrow3 arrow3 arrow3 arrow3 arrow3 arrow3 arrow3
false false false false arrow3 arrow3 arrow3
false false false false arrow3 arrow3 arrow3
false false false false arrow3 arrow3 arrow3
false arrow3 arrow3 arrow3 arrow3 arrow3 arrow3
false arrow3 arrow3 arrow3 arrow3 arrow3 arrow3
false arrow3 arrow3 arrow3 arrow3 arrow3 arrow3
false arrow3 arrow3 arrow3 arrow3 arrow3 arrow3
arrow4 arrow4 arrow3 arrow3 arrow3 arrow3 arrow3
arrow4 arrow4 arrow4 arrow3 arrow3 arrow3 arrow3
arrow4 arrow4 arrow4 arrow3 arrow3 arrow3 arrow3
arrow4 arrow4 arrow4 arrow4 arrow3 arrow3 arrow3
arrow4 arrow4 arrow4 arrow4 arrow4 arrow3 arrow3
arrow3 arrow3 arrow3 arrow3 arrow3 arrow3 arrow3
false false arrow3 arrow3 arrow3 arrow3 arrow3
false false arrow3 arrow3 arrow3 arrow3 arrow3
false false false arrow3 arrow3 arrow3 arrow3
false false false false arrow3 arrow3 arrow3
false false false false false arrow3 arrow3
arrow4 arrow4 arrow4 arrow4 arrow3 arrow3 arrow3
false false false false false arrow3 arrow3
false false false false false arrow3 arrow3
false false false false false arrow3 arrow3
arrow4 arrow4 arrow4 arrow4 arrow4 arrow4 arrow3

Tear types

Other links

More info

Patients fly in for surgery frequently. If you are out of state please book a Zoom consult.

8436 W 3rd St, Suite 800, Los Angeles, CA 90048
(310)703-5819
patients@justinsalimanmd.com

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Diagnosed with a meniscus tear? Have it properly repaired!

Book a Consultation
with Dr. Saliman

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    See full article

    About Dr. Justin Saliman

    Justin D. Saliman, MD, located in Beverly Hills, is a Stanford sports medicine trained orthopaedic surgeon operating out of Cedars-Sinai Hospital in Los Angeles.

     

    He is the founder of Ceterix® Orthopaedics and the inventor of the NovoStitch® Pro Meniscal Repair System, which was acquired by a large medical device company called Smith & Nephew in 2019.

    The device was granted FDA approval in 2012 and Dr. Saliman has been using it to preserve knee joints ever since.

     

    Nobody has more experience sewing meniscus tears
    back together than Dr. Saliman.

     

    He is specialized in joint preserving minimally invasive techniques to repair injuries to the knee to prevent arthritis and the need for joint replacement later in life.

    Dr. Saliman completed a sports medicine fellowship at Stanford University in Palo Alto, California, where he cared for the San Francisco 49ers and the athletic teams at Santa Clara and Stanford Universities.

    Prior to his fellowship, he completed his orthopaedic surgery residency at the prestigious St. Luke’s-Roosevelt Hospital Center of Columbia University in New York City. He earned his medical degree at the University of Colorado School of Medicine outside his hometown of Denver.

    +1 (310) 860-3059

    Book a Consultation

    Get the best treatment for your knee.

    Book Consultation

    8436 W 3rd Street
    Los Angeles, CA 9004812

    Patients fly in from all over the world to have their meniscus repaired by Dr. Saliman

    Book Consultation

      Get the best treatment for your knee.

      Book Consultation

      8436 W 3rd Street
      Los Angeles, CA 9004812

      Get the best treatment for your knee.

      Book Consultation